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30001 Crown Valley Pkwy Ste G Laguna Niguel CA 92677-1723 | |
(310) 466-4875 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 30001 Crown Valley Pkwy Ste G, Laguna Niguel, California |
Authorized Official Name and Position | Victor Mahran (OFFICE MANAGER) |
Authorized Official Contact | 3104664875 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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30001 Crown Valley Pkwy Ste G Laguna Niguel CA 92677-1723 Ph: (310) 466-4875 | 30001 Crown Valley Pkwy Ste G Laguna Niguel CA 92677-1723 Ph: (310) 466-4875 |
NPI Number | 1194102863 |
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Provider Enumeration Date | 05/01/2015 |
Last Update Date | 05/01/2015 |
Identifier | Type | State | Issuer |
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1194102863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 60096 (California) | Primary |
Balaze & Gregg Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30131 Town Center Dr Ste 250, Laguna Niguel, CA 92677 Phone: 949-770-7686 | |
Glenn P. Frial, Dds, Ms, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28202 Cabot Rd, Suite 250, Laguna Niguel, CA 92677 Phone: 949-276-2105 Fax: 949-276-2109 |